Comparação entre o uso de drenos suctores e suturas de adesão na correção de hérnias incisionais
Profile of patients undergoing surgery for proximal femoral fractures and its economic impact on public health in the state of São Paulo
Maria Luiza Marialva Rodrigues, Sergio Antonio Saldanha Rodrigues Filho
Resumo
OBJETIVO: Avaliar o índice de complicações pós-operatórias em hernioplastias incisionais segundo o método adjuvante de síntese empregado: suturas de adesão ou drenos suctores.
MÉTODOS: Trata-se de uma coorte retrospectiva onde foram comparados, em seus desfechos, pacientes submetidos à síntese de hernioplastias incisionais com uso de drenos e com suturas de adesão.
RESULTADOS: Dos 75 pacientes operados, 26 foram submetidos a suturas de adesão, tendo 8% evoluído com seromas e infecções, contra 45% (p=0,0013) e 32% (p=0,0013), respectivamente, no grupo drenos.
CONCLUSÃO: As suturas de adesão foram mais eficazes na prevenção de complicações pós-operatórias de hernioplastias incisionais que os drenos de sucção, permitindo-se, com aquelas, menor morbidade aliado a um maior conforto dos pacientes.
Palavras-chave
Abstract
OBJECTIVE: To evaluate the level of postoperative complications in incisional hernia repairs according to the adjuvant method of wound closure used: adhesive suture or suction drains.
METHODS: This is a retrospective study that compared the outcomes of patients who were submitted to incisional hernia repairs using drains or adhesive suture as adjuvant methods of wound closure.
RESULTS: of the 75 patients who underwent surgery, 26 were submitted to adhesive sutures, and 8% developed seromas and infections, compared to 45% (p = 0.0013) and 32% (p = 0.0013), respectively, in the drain group.
CONCLUSION: adhesive sutures were more effective in preventing postoperative complications of incisional hernia repairs than suction drains, leading to lower morbidity rates and greater patient comfort.
Keywords
References
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Submitted date:
09/02/2019
Accepted date:
11/26/2020
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